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Overview. Symptoms. Diagnosis. Causes and risk factors. Treatment. Outlook. Takeaway. Heart failure with reduced ejection fraction (HFrEF) means your left heart ventricle has weakened and less.An ejection fraction outside of the normal range could mean a variety of things: 40% to 49% is mid-range ejection fraction: The heart’s pumping ability is slightly below normal. You might not experience heart failure symptoms. Or, you may have symptoms with physical activity but not at rest.
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